**Core Concept**
Anabolic steroids are synthetic derivatives of testosterone that promote muscle growth and protein synthesis. These substances can have a range of side effects due to their impact on the endocrine system, particularly the hypothalamic-pituitary-gonadal axis.
**Why the Correct Answer is Right**
Anabolic steroids can lead to a variety of side effects, including acne, hirsutism, and male pattern baldness, which are all related to their androgenic effects. The correct answer will be a side effect that is not commonly associated with anabolic steroid use. For example, anabolic steroids may also cause changes in lipid profiles, leading to an increased risk of cardiovascular disease.
**Why Each Wrong Option is Incorrect**
**Option A:**
- Incorrect because anabolic steroids can indeed cause male pattern baldness due to their androgenic effects.
**Option B:**
- Incorrect because anabolic steroids can lead to changes in lipid profiles, which increase the risk of cardiovascular disease.
**Option C:**
- Incorrect because anabolic steroids can cause acne due to their androgenic effects.
**Option D:**
- Incorrect because anabolic steroids can cause male pattern baldness due to their androgenic effects.
**Clinical Pearl / High-Yield Fact**
It's essential to note that anabolic steroid use can lead to a range of psychological side effects, including aggression, depression, and anxiety, particularly in individuals with a history of mental health issues.
**Correct Answer:** D.
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